11D1001533 CLIA NUMBER - LITTLE FIVE POINTS PEDIATRICS

Laboratory Demographics

  • CLIA Code: 11D1001533
  • Facility Name: LITTLE FIVE POINTS PEDIATRICS
  • Facility Address: 427 MORELAND AVENUE, NE, SUITE 400
    ATLANTA, GA
    ZIP 30307
  • Facility Phone: 404 521-2445
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHELLEY KIM
  • NPI Number: 1922588474
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D1001533
LAB Type Physician Office
Facility Name LITTLE FIVE POINTS PEDIATRICS
Street 427 MORELAND AVENUE, NE, SUITE 400
City ATLANTA
State GA
ZIP 30307
Phone 404 521-2445
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Physician Office
Lab Director SHELLEY KIM

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This page was last updated on: 9/29/2025